NPIMap

Individual provider Active NPI

Patti Annette Wicklund, FNP-BC

  • Family Nurse Practitioner
  • Ojai, CA
National Provider Identifier
1780373522
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95022364 Issued in CA
Practice address
117 Pirie Rd Ste D
Ojai, CA 93023-3166
Phone
(805) 646-7246
Fax
(805) 646-8936
NPI assigned
May 8, 2023
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95022364 CA Primary

Addresses

Primary practice location

117 Pirie Rd Ste D
Ojai, CA 93023-3166

Mailing address

2428 Castillo St Ste a
Santa Barbara, CA 93105-5308
Phone (805) 682-2541

Other practice location 1

2428 Castillo St Ste C
Santa Barbara, CA 93105-5310
Phone (805) 563-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807001090 CA Practitioner - Nurse Practitioner 5092176099 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Medical Group of Ventura County IncGroup PAC ID 0345218160, 42 clinicians

Practice addresses (Care Compare)

10885 Telegraph Rd
Ventura, CA 93004-1272
Phone (805) 647-7704

117 Pirie Rd
Suite D
Ojai, CA 93023-3166
Phone (805) 646-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95022364CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Group of Ventura County Inc CurrentSince Feb 14, 2025 Accepting new patients
Ojai Valley Family Medicine Group CurrentSince Jan 9, 2024 Accepting new patients
Santa Barbara Nephrology, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Andrew Ross MD Inc CurrentSince May 1, 2023 Accepting new patients

Locations

117 Pirie Rd
Ste D
Ojai, CA 93023
Phone (805) 646-7246

2428 Castillo St
Ste C
Santa Barbara, CA 93105
Phone (805) 682-2541

2428 Castillo St
Ste A
Santa Barbara, CA 93105
Phone (805) 682-2541

10885 Telegraph Rd
Ventura, CA 93004
Phone (805) 647-7704

3555 Loma Vista Rd
Ste 110
Ventura, CA 93003
Phone (805) 653-0303

Interoperability endpoints

  • Direct secure messaging: patti.wicklund.1@21226.direct.athenahealth.com
  • Direct secure messaging: patti.wicklund@3512654036996.direct.elationemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1780373522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 CASTILLO ST STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055308",
            "telephone_number": "805-682-2541",
            "fax_number": "805-563-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PIRIE RD STE D",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233166",
            "telephone_number": "805-646-7246",
            "fax_number": "805-646-8936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2428 Castillo St Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931055310",
            "country_code": "US",
            "telephone_number": "805-563-2400",
            "fax_number": "805-563-0969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKLUND",
        "first_name": "PATTI",
        "middle_name": "ANNETTE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95022364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

Verify at the official NPI Registry.